Provider Type Icon

MEDICAL IMAGING OF COLORADO NPI 1336188234


NPI Information

NPI: 1336188234
Provider Name: MEDICAL IMAGING OF COLORADO
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 06D2008151

Address:
10800 E GEDDES AVE STE 300
ENGLEWOOD, CO
ZIP 80112
Phone: (303) 761-9190
Get Directions

MEDICAL IMAGING OF COLORADO is a diagnostic radiology radiology in Englewood, CO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MEDICAL IMAGING OF COLORADO NPI is 1336188234. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10800 E GEDDES AVE STE 300
ENGLEWOOD, CO
ZIP 80112-895
Phone: (303) 761-9190
Fax: (720) 874-4462

The provider's authorized official is Graceann Grillo .
The authorized official title is Credentialing Supervisor and has the following contact phone number (720) 493-3716.

The CLIA number assigned to this NPI record is 06D2008151 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 3/31/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100370940AMEDICAIDKANSAS
2123484600MEDICAIDWYOMING
318062OTHERPRES SALUD MEDICAID MIC
44007803MEDICAIDCOLORADO
55797650OTHERAETNA MIC
6CO1190OTHERHEALTHNET NE MIC
7CC8768OTHERRR MEDICARE MIC
8MEW4008OTHERBCBS MIC
9074088801MEDICAIDTEXAS
108489712601OTHERPACIFICARE MIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.